Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10425 | Date 16/12/2021 |
| Token No | SM/22-23/16797 16/09/2022 | Serial | 024 Last Visit: 27/12/2023 |
| Patient Name | Mr. BISHAI PAL | Contact No | 9330489875 |
| Address | 34 CHATRA KUMER PARA SERAMPORE | Age | 14 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||